Organization
JOHN G KNECHT, DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J SWARTZ (MANAGER)
(409) 762-6433
Entity
Organization
Contact information
Practice address
1529 39TH ST, GALVESTON, TX 77550-6605
(409) 762-6433
(409) 762-8245
Mailing address
1529 39TH STREET, GALVESTON, TX 77550-6605
(409) 762-6433
(409) 762-8245
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0451
TX
332B00000X
Durable Medical Equipment & Medical Supplies
0451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121585701
—
TX
05
—
1566754-02
—
TX
Enumeration date
04/17/2008
Last updated
09/27/2011
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